Active NPI
Jenna Crutsinger
- Nurse Practitioner
- Westbrook, ME
National Provider Identifier
1700435807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP231267
- Practice address
- 1 Harnois Ave.
Suite 1B
Westbrook, ME 04092 - Phone
- (207) 662-1340
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP231267 | ME | Primary |
Addresses
Primary practice location
1 Harnois Ave.
Suite 1B
Westbrook, ME 04092
Mailing address
1 Harnois Ave.
Suite 1B
Westbrook, ME 04092
Phone (207) 662-1340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230724002773 | ME | Practitioner - Nurse Practitioner | 1456785609 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mainehealth
Practice addresses (Care Compare)
1 Harnois Ave
Westbrook, ME 04092-4392
Phone (207) 662-1360
1 Harnois Ave
Westbrook, ME 04092-4395
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Northern Light Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP231267 | ME | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Family Medicine | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Internal Medicine | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491
1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400
1 Harnois Ave
Ste 1B
Westbrook, ME 04092
Phone (207) 662-1340
Interoperability endpoints
- jcrutsinger595740@direct.mmc.mainehealth.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- NPI 1598780447
Internal Medicine, ME
-
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- Scarborough, ME
- NPI 1346687167
-
- Urology Physician
- South Portland, ME
- NPI 1710215751
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatric Urology Physician
- Portland, ME
- NPI 1457540486
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1700435807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HARNOIS AVE.",
"address_2": "SUITE 1B",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "04092",
"telephone_number": "207-662-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HARNOIS AVE.",
"address_2": "SUITE 1B",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "04092",
"telephone_number": "207-662-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTSINGER",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "CNP231267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.